| W Eric Martin DDS PC | |
|
403 Windsor Rd Champaign IL 61820 | |
| (217) 355-9997 | |
| Not Available |
| Full Name | W Eric Martin DDS PC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 403 Windsor Rd, Champaign, Illinois |
| Authorized Official Name and Position | Joy S Martin (CORPORATE SECRETARY) |
| Authorized Official Contact | 2173559997 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| W Eric Martin DDS PC 403 E Windsor Rd Champaign IL 61820-7722 Ph: (217) 355-9997 | W Eric Martin DDS PC 403 Windsor Rd Champaign IL 61820 Ph: (217) 355-9997 |
| NPI Number | 1891159299 |
|---|---|
| Provider Enumeration Date | 04/12/2016 |
| Last Update Date | 04/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891159299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 060007408 (Illinois) | Primary |
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